| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $446.68 | $446.68 | $446.68 | |
Cigna
| Professional | $446.68 | $446.68 | $446.68 | |
Priority Health
| Facility | $446.68 | $446.68 | $446.68 | |
Priority Health
| Professional | $446.68 | $446.68 | $446.68 | |
United
| Facility | $436.52 | $436.52 | $446.68 | |
United
| Professional | $457.09 | $467.74 | $707.95 |